Individual
KELSEY PARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 S RESERVE ST STE B, MISSOULA, MT 59801-6401
(406) 282-1662
Mailing address
719A SKYLA CT, MISSOULA, MT 59801-1480
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
19468
MT
Other
Enumeration date
11/01/2016
Last updated
09/27/2024
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